KYLE DEAN LONG (NPI# 1922431758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922431758 |
| Entity Type | Individual |
| Full Name | KYLE DEAN LONG |
| Credential | PHARM D. |
| Practice Address |
724 N 22nd St Saint Joseph MO 64506-2604 |
| Mailing Address |
1106 S Beech St Savannah MO 64485-2107 |
| Practice Telephone | 8163965800 |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2018-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2012022667 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524921 | Kyle Long | Behavioral Analyst | 1718 24th Ave N, Nashville, TN 37208-1902 | 2019-12-06 |
| 1396195582 | Kyle Long | Registered Nurse | 2567 C St, San Diego, CA 92102-2114 | 2016-06-17 |
| 1104912492 | Kyle Floyd Long | Dentist | 3955 E Exposition, Suite 110, Denver, CO 80209 | 2006-10-05 |
| 1144781576 | Kyle David Long | Physician Assistant | 77 Nealy Ave, Hampton, VA 23665-2040 | 2019-03-28 |
| 1528569258 | Kyle Long | Behavior Technician | 25201 Paseo De Alicia Ste 110, Laguna Hills, CA 92653-4627 | 2018-02-27 |
| 1114311412 | Kyle Long | Pharmacist | 701 W Houston St, Broken Arrow, OK 74012-3759 | 2015-03-24 |
| 1033525639 | Kyle Long | Internal Medicine | 601 Elmwood Ave, Rochester, NY 14642 | 2014-07-03 |
| 1609814391 | Kyle Y Long | Psychiatry & Neurology | 725 Highland Ave, Winston Salem, NC 27101-4206 | 2006-06-03 |
| Street Address |
724 N 22ND ST |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64506-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255308862 | Vanessa Anne Boydston | Nurse Practitioner | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2006-03-02 |
| 1982225157 | Tara Denise Dorman | Counselor | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2020-04-29 |
| 1689236218 | Brittany Jean Adams | Nurse Practitioner | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2019-07-03 |
| 1699232611 | Richard Dean Smith II | Social Worker | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2019-02-26 |
| 1053876573 | Brooke Thouvenot | Registered Nurse | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2019-02-08 |
| 1942794813 | Sara Brown | Counselor | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2018-06-14 |
| 1295245165 | Rachel J Evans | Social Worker | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2017-10-05 |
| 1467962753 | Joseph Michael Kline | Social Worker | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2017-10-02 |
| 1427598838 | Jarod Jackson | Pharmacist | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2017-03-03 |
| 1316489891 | Kerri Louise Spitzer | Counselor | 724 N 22nd St, Saint Joseph, MO 64506-2604 | 2016-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1366952988 | Annette Burris | Audiologist | 2401 North Woodbine, St. Joseph, MO 64506 | 2017-10-10 |
| 1962927665 | Genuine Senior Care LLC | In Home Supportive Care | 3715 Beck Road, Suite 207b, St. Joseph, MO 64506 | 2017-08-03 |
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
| 1598167587 | Quality Hearing and Audiology Center LLC | Audiologist | 2227 North Belt Highway, St. Joseph, MO 64506 | 2014-09-22 |
| Find all providers in zip 64506 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1912450107 | Jerome Wheeler | Pharmacist | 3606 Beck Rd, Saint Joseph, MO 64506-2275 | 2016-07-25 |
| 1053790865 | Jeffrey Arnold Perrin | Pharmacist | 3205 W Valley View Dr, Saint Joseph, MI 49085-9407 | 2015-05-26 |
| 1326470410 | Richard Kenneth Ingram | Pharmacist | 1372 County Road 2275 E, Saint Joseph, IL 61873-9627 | 2013-07-31 |
| 1053667030 | Edwin G. Blanche | Pharmacist | 705 Plank Road, Saint Joseph, LA 71366 | 2012-07-27 |
| 1821371634 | Elise Hubbard | Pharmacist | 4425 Plum Creek Ln, Saint Joseph, MI 49085-9315 | 2011-09-28 |
| 1710260377 | Michael Lou Whitley | Pharmacist | 3645 Frederick Avenue, Saint Joseph, MO 64506 | 2011-09-21 |
| 1861789836 | Jocqueline Butler | Pharmacist | 5201 N Belt Hwy, Ste H, T-1977, Saint Joseph, MO 64506-1553 | 2011-06-29 |
| 1801119524 | Barbara Ann Lutz | Pharmacist | 2901 N Belt Hwy, Saint Joseph, MO 64506-2006 | 2010-03-09 |
| 1134384886 | Andrea Lynn Miller | Pharmacist | 1517 Saint Joseph Ave, Saint Joseph, MO 64505-2631 | 2008-07-22 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.